Individual
MARIO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8300 W FLAGLER ST STE 210, MIAMI, FL 33144-6002
(305) 553-0270
(305) 553-0670
Mailing address
7200 NW 7TH ST, MIAMI, FL 33126-2948
(305) 264-6270
(305) 261-7739
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN600
FL
Other
Enumeration date
03/27/2014
Last updated
02/25/2020
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